The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. It took presence of mind and effective skills on my part to have a clear plan in promoting calmness amidst difficulties
Organizational and Work Competencies
Being the experienced RN in the room, I was able to direct the entire team in doing their part to ensure that our patient was safe and all needs attended. She told me that for about a week she cannot sleep because the burning wakes her up. The letter stated that my patient had been diagnosed with a subarachnoid hemorrhage and that the QA nurse wanted to thank me for my triage and comprehensive thinking. Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. Additionally, the applicant must have a Mentor signature on their application to validate that all elements are complete
The applicant must:
Meet minimum qualifications (see previous page)
Submit a complete application portfolio containing the following:
Staff Nurse III or HH/H III Application Form with a required Mentors signature..
Verification of Hours Paid form (if applicable)
Signed performance evaluation within the last twelve (12) months of application. ( Getting appropriate and timely responses from physician. Who was affected by the work that you achieved? The following day I checked in CIPS to see if she went to ED and what was the outcome (at that time we were allowed to do so). She stated she wanted to try an Ibuprofen first and was going to call afterwards if the HA did not get better. After I triaged through all the emergent, transfer and appoint today boxed, I felt it was time to negotiate and find a safe outcome that would balance the members operational needs. ( Working to build and maintain a therapeutic community. This nurse combines flexibility with expertise to ensure that the team provides patients with consistent and safe care around the clock, even in the fact of work overload, acute staff shortage and the inexperience of new team members. Mrs. S. appeared more relaxed, was smiling and thanked me for looking out for her.
I am a compassionate, competent, professional and am committed to my patients and their welfare. I talked to the supervisor of the facility and was told that there was a mention of hospice but no order for hospice. Leadership roles can be in the form of a charge nurse, a unit manager, or other leading positions within nursing. Your Name __________________________________ Date of Recommendation _________________
2. WebWhat is an exemplar? She was afebrile, voiding clear urine, had no history of kidney stones and denied any pain. Perioperative nurses have the responsibility for continual assessment of the complex interplay of ever changing variables that would affect the surgical outcomes. How have these accomplishments had an impact. It was around this point in his care he started needing increased assistance with his ADLs so I assessed the need for a HHA and a referral was made. At the back of my mind, I knew the promise that I had made to my patient and his wife. WebThe nurse exemplar program recognizes and rewards extraordinary nurses who demonstrate a special way of advocating for families, caring for children and teaching their colleagues. llx7QLbS I needed to return to the Dermatology Clinic and to my full schedule of patients, but reassured Mrs. S. that she would be well taken care of and I would return as soon as possible. Letters of Recommendation Guidelines
Letters should be legible, be brief, indicate the nature and dates of your association, state I recommend (candidates name) for Staff Nurse III, HH/H III, and address the applicants demonstration of the qualities described in the Staff Nurse III, HH/H III definition (reproduced below). 2006-06-08T10:38:27Z During the interview:
Candidates will be asked to answer questions about any aspect of the portfolio contents in a clear, knowledgeable, and succinct fashion. Why did your work succeed or fail? Nurses are advanced to Clinical Nurse III based upon proficiency in clinical performance. well as for the nursing profession. She stated to me that she is not sure they are related because I felt fine all day yesterday. I asked her how she was feeling during the call and she said her HA was mild to moderate but she was able to function. (LogOut/ Thanks to everyone who submitted an Exemplar this year! I quickly had to focus on the current dilemma that she was experiencing. I was also in charge for the day. The Local Facility Selection Committee will maintain current listing of Mentors. Learning is the process by which a person acquires or increases Removing all of the sterile gauze revealing her peri-skin already red and angry, just short of excoriation, I assessed immediately that the plan of care for her dressings would require more than simple sterile gauze. Fluids & Electrolytes Fluid and electrolyte balance refers to the bodys maintaining I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. (LogOut/ See calculation below. This nurse stood back and said Whats wrong? I explained to the nurse that because of the patients facila injury it would be safer to place the NGT orally. The following Benners Domain will be addressed:
The Helping Role
The Teaching Coaching function
Effective Management of Rapidly Changing Situation
Organizational and Work Role competencies
Exemplar #12
It promised to be a relatively straightforward day in OR Room 3. Continuing Education Documentation
Applicants must have a minimum of 15 Continuing Education credits in the area of the applicants clinical specialty. Examples of successful exemplars are shown below. Reciprocal compensation occurs among The upper and lower jaw was loose and appeared to be floating. (Marquis & Huston, 2021). It was found later that his patient survived and was recovering from his injuries. I knew I could not let Mr. P be discharged. Web3) The charge nurse observes that a fellow charge nurse on the unit seems impaired and unable to perform client care. 0000001561 00000 n
The following Benner Domains will be addressed:
The Helping Role
Monitoring and Ensuring the Quality of Health Care Practices
Organization and Work-Role Competencies
Exemplar #11
Over the course of my nursing career, I have had the honor of caring for many patients, a few of whom become very specialize in their care needs. 2010-12-08T15:15:14-05:00 Current signed performance evaluation at the midpoint or above on average. All applicants who meet minimum
qualifications are interviewed by the FSC. patient care or other clinical issues (Taylor et al., 2019). Her current admission to 4E had been in response to her diagnosis and pancreatitis after her knee replacement. The Facility Selection Committee shall review the appeal and either accept the application or deny the appeal, providing a written explanation of the reasons for the written denial. He came to my unit for reinduction chemotherapy. The appendix of this packet includes a lengthy description of Benners Domains and helpful examples of exemplars. I was stunned by the turn of events, bleeding became significant; both surgeons attempts to control bleeding were unsuccessful. Acrobat PDFWriter 5.0 for Windows NT 4. License # _______________________________Expiration Date_____________________
Area of Clinical Specialty: ( Ambulatory Care ( Home Health/Hospice ( Hospital
Classification: ( Regular ( Short Hour ( Per Diem
7. He is a nonmember, and has never been to Kaiser. This top honor receives additional recognition and awards. Instructions: Please complete this form and return it to the applicant before __________ (date). What were your goals and did you achieve them? Present your account as a story, rather than an analytic case study. Find examples in your individual practice which:
Demonstrate your ability to function in any three of the domains
Write, in your own words, two (2) narratives each containing three domains. The physician asked me to place a bulk type dressing to the head before the patient was transported to CT. Active participation in quality activities which must be of an ongoing nature with participation occurring over at least six (6) months of the past year, e.g., PPC, Safety Committee, organizationally sanctioned peer group or committee, RNQL. You can take as much space as you feel is necessary to tell your story. I became the point of care for this mans treatments. Health Promotion Health promotion is the behavior of an individual motivated by a I escorted him to our injection room and had him take a seat. Even though her HA had decreased it was still continuing and she had a history of complications following delivery. She left a lot up to The Lord and I teased her and mentioned that he might well know what her pain level was at any given time, but it would sure help me to remain in the loop. This decision shall be provided to the applicant within thirty (30) calendar days after the Regional Appeals Committees meeting. of homeostasis of fluid volume and electrolytes by a number of (Taylor et al., 2019). When the baby woke her up around 4am the HA was still there but was better so she didnt call. in which they simultaneously send and receive messages both verbally I took the time to really listen to her history and her feelings. I opened the binder up to take a look at her surgical incision and had to prepare myself and her for what was hard for my eyes to believe. This nurse stepped back and stated, Im afraid to push his loose teeth down this throat or even worse make his fracture worse. Phone
(Work)___________________ (Home) __________________(Other)________________
7. I recommended and facilitated a PICC line insertion so I would have a more permanent access and a way to draw the endless lab tests that would follow creating less pain and trauma for my patient. Write the exemplar in your own words. It was wonderful to see her personality start to immerse. She stated that she would have tried to perform a tracheotomy if the intubation was not successful after one attempt. I knew it was going to be a busy day. It became an easy transition from laparoscopic to open case because I had already directed my surgical technician to prepare the back table for the trays necessary. This may include soft skills for nurses like the ability to motivate others or strong communication. I touched his arm and said Dont you worry, that is what I get paid to do. an immediate risk to a clients life or long-term health. As the paramedics were getting ready to transport the patient, he called me over the gurney he took my hand and thanked me for being there for him and that he was so grateful that I had answered his knock on the door. I had a heavy assignment that day and soon realized that the complex wound care box on our grasp sheet would not begin to reflect the amount of nursing care that this man would require. and declines. The patient and family needed teaching regarding the physical changes T. was experiencing and the emotional and spiritual impact of those changes needed to be considered. "dY`B[BU"{Ut?q86G-D"J,Z[5{)xm[[d
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6. Demonstrate excellence in your exemplar, i.e. Part of the application process requires that applicants submit letters of recommendation from peers, supervisors/managers, and other health team members familiar with the applicants practice over the past year. In our Purple Book the home treatment advice presents a list of food that should be avoided (we all know that Mexican food is mostly spicy) and explains in detail about meal timing and positioning when sleeping to avoid acid reflux. A Charge Nurse must be organized and communicate effectively with a team. The daughter notified hospice at eight oclock AM that T. was still in the ED and in excruciating pain and the nurses were afraid to medicate him with the 110 mg bolus every fifteen minutes he needed it. Just as we were wrapping up report, the dreaded EMS radio went off. They were a very spiritual couple and she brought in incense to burn and body oils to apply that had a distinct smell. UVB therapy decreases the immune cell response. encounter potential and actual alterations in oxygenation in all types Communication Communication is the process that people use to exchange information, I should be able to see beyond the immediate needs of my patient in the OR by being his advocate at the time he couldnt care for himself. Each year, staff members nominate their peers to become recipients of 11 different nurse exemplar awards: APN Exemplar (recognizing an outstanding Advanced However, charge nurses can go by different titles which may affect salary. Name of Committee: _______________
Date Joined: _______________
Committee Charter/Purpose:
Committee meeting schedule:
Monthly
Every other month
Quarterly
Other
Individuals contribution to the committee: (Please list how/what you contribute to the committee or how you share the information with your staff.) More than 15 CEUs may be submitted with the application packet in case some CEUs do not meet requirements. I stayed just long enough to get him tucked in and off I went as I was done for the day. She needs medication ASAP. the community, the nurse must adapt to the patients environment and Although I was initially impressed at Mr. L.s ability to speak and remain awake. In looking at Mr. L.s face I visualized mouth swelling, eccymosis, loose teeth and what appeared to me to be a Le fort facial fracture, also known as the floating palate. I explained everything to the charge nurse and requested that a one-time exception to the policy of no overnight guests be made. Determination Act, and licensure. In addition to handling and monitoring the current situation, this nurse anticipates and plans for potential change in the patients condition, adapting to the patients needs as they arise. I was assigned to the Trauma Bay and was notified by the charge nurse that we had an incoming cardiac arrest. It was a daily challenge to balance each visit. I instructed both surgeons to look for it as well as the surgical tech. Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. WebA) The client is very old and has multiple health problems. When she heard that she risks death she decided to go. The patient was awake, alert, oriented with warm and dry skin. Issues ( Taylor et al., 2019 ) before __________ ( date ) at. Issues ( Taylor et al., 2019 ) i had made to my and! Shall be provided to the five required concepts above: 6 of my mind, i knew the that. 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